Download - Gastrostomia y yeyunostomia
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GASTROSTOMIA Y YEYUNOSTOMIA
Dr. Membreño MR3
Cirugía general, Hospital Escuela
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Definición:
Apertura de una víscera hueca al exterior
generalmente hacia la pared abdominal
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INDICACIONES
Expectativa de Vida: mayor de 2 meses
Obstructivas: CA de Esófago, Cáncer de cabeza y
cuello
Trastorno de la deglución: Enfermedad neurológica
Descompresión
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CONTRAINDICACIONES
Obesidad Mórbida
Ascitis
Diálisis peritoneal
Lesiones cutáneas
Coagulopatias
Obstrucción Distal
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CLASIFICACIÓN
Temporal:
Witzel
Stamm
Endoscópica Percutánea
Permanente:
Janeway
Endoscópica Percutánea
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ABORDAJE
Laparotomía
Endoscópica
Laparoscópica
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